| NPI | 1801482880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 20146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0903003056) |
| 101YM0800X Counselor, Mental Health (Licence: DC LG200001186) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-09-01 |